Professional Referral Form

If you are a relevant professional wishing to refer an adult , please complete the form below with your and their relevant details and we will be in touch with you as soon as possible. Please note we are unable to accept a referral for a child or young person under 18 – all children and young people referrals must come through CAMHS SPA – Please find the link here – CAMHS single point of access referral :: Black Country Healthcare NHS Foundation Trust